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Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
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Implementing Skin-to-Skin Care in the Operating Room After Cesarean Birth.

Courtney Stanley Sundin1, Lauren Bradham Mazac

  • 1Courtney Stanley Sundin is a Labor & Delivery Staff Nurse, Baylor All Saints Medical Center-Andrews Women's Hospital, Fort Worth, TX. The author can be reached via e-mail at courtneysundin@gmail.com Lauren Bradham Mazac is a Labor & Delivery Staff Nurse, Baylor All Saints Medical Center-Andrews Women's Hospital, Fort Worth, TX.

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Immediately placing newborns skin-to-skin (STS) in the operating room after cesarean birth significantly improved maternal satisfaction and reduced pain perception. This practice offers positive implications for mothers during surgical procedures.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Quality Improvement in Healthcare

Background:

  • Skin-to-skin (STS) contact after vaginal birth is linked to improved infant temperature and glucose stability, and higher breastfeeding rates.
  • Limited data exists on STS implementation in the operating room (OR) following cesarean birth.
  • Despite potential challenges, OR STS may enhance maternal and infant outcomes.

Purpose of the Study:

  • To assess maternal satisfaction with the birth experience.
  • To evaluate maternal perception of pain during cesarean birth.
  • To determine the impact of immediate STS in the OR after cesarean delivery.

Main Methods:

  • Quality improvement project conducted at a high-volume urban hospital over 90 days.
  • Compared maternal birth experience satisfaction and intraoperative pain perception between cesarean births with and without STS.
  • Utilized postpartum interviews and anesthesia record reviews for data collection.

Main Results:

  • Maternal satisfaction was significantly higher in the group that experienced STS in the OR.
  • Maternal perception of pain during surgery was lower for mothers with STS compared to those without.
  • STS in the OR demonstrated positive effects on maternal outcomes.

Conclusions:

  • Immediate STS placement in the OR after cesarean birth is feasible and beneficial for maternal satisfaction and pain perception.
  • Ensuring infant safety during OR STS requires dedicated nursing support for mother and baby.
  • This quality improvement initiative highlights the potential of STS in the OR to enhance the cesarean birth experience.